Kirkham, Jared Robert
Kirkham, Jared Robert is an sole proprietor health care provider with primary practice located at 4100 Lake Otis Pkwy Ste 108 , Anchorage AK 99508-5230. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Kirkham, Jared Robert can be contacted via phone (907) 563-3145.Contact Information
Primary practice address
4100 Lake Otis Pkwy Ste 108
Anchorage AK 99508-5230
Phone: (907) 563-3145
Fax: (833) 464-5196
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Sports Medicine | 2081S0010X | MEDS7978 | Alaska |
Profile Details
NPI number | 1144544107 |
---|---|
LBN Legal business name | Kirkham, Jared Robert |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 19th, 2010 |
Last updated | Nov 27th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1144544107 | NPPES |
Alaska | MEDICAID | 1610529 |
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